Individual provider Active NPI

Fabiola Garcia de Rocha, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1013322700
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30122 Issued in TX
Practice address
9863 Long Point Rd
Houston, TX 77055-4107
Phone
(713) 468-1400
NPI assigned
Jun 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30122 TX Primary

Addresses

Primary practice location

9863 Long Point Rd
Houston, TX 77055-4107

Mailing address

9863 Long Point Rd
Houston, TX 77055-4107
Phone (713) 468-1400

Other practice location 1

8762 Long Point Rd Ste 102
Houston, TX 77055
Phone (713) 468-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30122TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fav-Ulos Dental Current Accepting new patients
Fav-Ulous Dental PLLC Dentist Past Accepting new patients

Locations

8762 Long Point Rd
Ste 102
Houston, TX 77055
Phone (713) 468-1400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1013322700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9863 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554107",
            "telephone_number": "713-468-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9863 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554107",
            "telephone_number": "713-468-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8762 Long Point Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77055",
            "country_code": "US",
            "telephone_number": "713-468-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA DE ROCHA",
        "first_name": "FABIOLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-22",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.